Evidence map›Paper›PMID 29289418›Full record

ArticleGynecologic oncology2018

Long-term, adverse genitourinary outcomes among endometrial cancer survivors in a large, population-based cohort study.

Sean Soisson, Patricia A Ganz, David Gaffney, Kerry Rowe, John Snyder, Yuan Wan, Vikrant Deshmukh, Mike Newman, Alison Fraser, Ken Smith and 7 more

Open access · greenAbstract read
In one paragraph

Article in Gynecologic oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Transition from oncology to primary care: experience of long-term cancer survivors in a Brazilian high-complexity center.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  4. Article
  5. Article
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  9. Adverse Urinary System Diagnoses among Older Women with Endometrial Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
    Article
  10. Article
  11. Review
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  13. Family Study Designs Informed by Tumor Heterogeneity and Multi-Cancer Pleiotropies: The Power of the Utah Population Database.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 6 institutions in 1 country.

Sean SoissonDivision of Public Health, Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT, United States; Huntsman Cancer Institute, Salt Lake City, UT, United States.
Patricia A GanzDepartment of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, United States.
David GaffneyHuntsman Cancer Institute, Salt Lake City, UT, United States; Department of Radiation Oncology, University of Utah School of Medicine, Salt Lake City, UT, United States.
Kerry RoweIntermountain Healthcare, Salt Lake City, UT, United States.
John SnyderIntermountain Healthcare, Salt Lake City, UT, United States.
Yuan WanPedigree and Population Resources, Population Sciences, Huntsman Cancer Institute, Salt Lake City, UT, United States.
Vikrant DeshmukhUniversity of Utah Health Sciences Center, Salt Lake City, UT, United States.
Mike NewmanUniversity of Utah Health Sciences Center, Salt Lake City, UT, United States.
Alison FraserPedigree and Population Resources, Population Sciences, Huntsman Cancer Institute, Salt Lake City, UT, United States.
Ken SmithPedigree and Population Resources, Population Sciences, Huntsman Cancer Institute, Salt Lake City, UT, United States.
Kimberly HergetUtah Cancer Registry, Salt Lake City, UT, United States.
Heidi A HansonPedigree and Population Resources, Population Sciences, Huntsman Cancer Institute, Salt Lake City, UT, United States; Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT, United States.
Yelena P WuHuntsman Cancer Institute, Salt Lake City, UT, United States; Department of Dermatology, University of Utah School of Medicine, Salt Lake City, UT, United States.
Joseph StanfordDivision of Public Health, Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT, United States.
Theresa L WernerHuntsman Cancer Institute, Salt Lake City, UT, United States; Division of Oncology, Department of Medicine, University of Utah School of Medicine, Salt Lake City, UT, United States.
Veronica Wendy SetiawanDepartment of Preventive Medicine, Keck School of Medicine of USC, Los Angeles, CA, United States.
Mia HashibeDivision of Public Health, Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, UT, United States; Huntsman Cancer Institute, Salt Lake City, UT, United States. Electronic address: mia.hashibe@utah.edu.
University of Utah · USHuntsman Cancer Institute · USIntermountain Healthcare · USKeck Hospital of USC · USUCLA Health · USUtah Cancer Specialists · US

Funding

Sharing statewide health data for genetic research (1 R01 RR021746-01A1)R01RR021746 · NCRR · UNIVERSITY OF UTAH · PI MINEAU, GERALDINE P · 2007 to 2009
$770k
Translational Approaches to Melanoma Prevention in Children at High Genetic RiskK07CA196985 · NCI · UNIVERSITY OF UTAH · PI WU, YELENA PING · 2015 to 2019
$682k
Population-based Cohort of Endometrial Cancer Survivors in UtahR21CA185811 · NCI · UNIVERSITY OF UTAH · PI HASHIBE, MIA · 2015 to 2016
$356k
Epidemiology of testicular cancer in the Utah populationR03CA159357 · NCI · UNIVERSITY OF UTAH · PI HASHIBE, MIA · 2011 to 2012
$150k
NCI NIH HHS K07 CA196985NCI NIH HHS R03 CA159357NCI NIH HHS R21 CA185811NCRR NIH HHS R01 RR021746
6 · The paper itself

Abstract

objectiveWith the increasing incidence of endometrial cancer, the high survival rate, and the large number of endometrial cancer survivors, investigations of long-term genitourinary outcomes are important for the management of these outcomes among endometrial cancer survivors.

methodsCohorts of 2648 endometrial cancer survivors diagnosed in the state of Utah between 1997 and 2012 and 10,503 general population women were identified. All ICD-9 diagnosis codes were collected from the state's two largest healthcare systems and statewide databases. Multivariate Cox regression models were used to estimate hazard ratios at 1-5years and >5-10years after endometrial cancer diagnosis for genitourinary outcomes.

resultsEndometrial cancer survivors were at elevated risk for urinary system disorders between 1 and 5years (HR: 1.64, 95% CI: 1.50-1.78) and >5-10years (HR: 1.40, 95% CI: 1.26-1.56) and genital organ disorders between 1 and 5years (HR: 1.71, 95% CI: 1.58-2.03) and >5-10years (HR: 1.33, 95% CI: 1.19-1.49). Significantly elevated risk was observed among endometrial cancer survivors for renal failure, chronic kidney disease, urinary tract infections, and nonmalignant breast conditions, persisting between >5-10years. Between 1 and 5years after cancer diagnosis, those with higher stage, higher grade, older age and treated with radiation or chemotherapy were at higher risk for urinary disorders.

conclusionsEndometrial cancer survivors were at higher risk for many genitourinary outcomes compared to women from the general population. This study presents evidence suggesting the necessity of increased monitoring and counseling for genitourinary disorders for endometrial cancer patients both immediately after treatment cessation and for years afterwards.

Indexed as

AdenocarcinomaAdenocarcinoma, Clear CellAdenocarcinoma, MucinousAgedAged, 80 and overAge FactorsAntineoplastic AgentsBreast DiseasesCancer SurvivorsCarcinoma, EndometrioidCohort StudiesEndometrial NeoplasmsFemaleFollow-Up StudiesHumansMiddle AgedAntineoplastic AgentsCancer survivorshipEndometrial cancer survivorsGenitourinary adverse eventsGenitourinary toxicities

Identifiers

PMID29289418
PMCPMC5905702
OpenAlexW2776669490

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.